Community-Centered Patient Journey Map in Opioid Use Disorder: A Tool to Address Compassion Fatigue among Community Pharmacists.
Community-Centered Patient Journey Map in Opioid Use Disorder: A Tool to Address Compassion Fatigue among Community Pharmacists.
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DOI：
10.3390/pharmacy11020052
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发表时间：
2023-03-14
期刊：
影响因子：
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通讯作者：
Chisholm-Burns M
中科院分区：
文献类型：
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作者：
Hohmeier KC;Cernasev A;Leibold C;Moore TM;Schlesinger E;Cochran G;Arce I;Geminn W;Chisholm-Burns M
近几十年来，社区药剂师越来越多地接触阿片类药物使用障碍。然而，药剂师培训和传统实践环境都不足以让药剂师做好准备，满足患者护理需求和阿片类药物使用障碍 (OUD) 患者的监管障碍。因此，需要提高药剂师对 OUD 操作时的整体患者体验以及社区药房作为该体验中的接触点的作用的认识。为此，根据专家见解、临床经验和对田纳西州注册阿片类药物治疗项目的 16 名参与者的深入访谈（于 2021 年春季进行），制定了以社区为中心的戒毒治疗患者旅程地图。患者、政策制定者、临床医生和学术研究人员都参与了地图的开发。通过深度访谈捕捉关键知情人的生活经历。在整个患者旅程地图开发过程中使用了共识决策方法。最终的患者旅程地图说明了非线性路径，描述了患者社区的核心作用，并强调了系统内的三个主要“痛点”（访问、依从性和负担能力）。未来的研究应该调查这样的旅程地图对药房人员的知识、态度和行为的影响。
Community pharmacists have become increasingly exposed to opioid use disorders in recent decades. However, both pharmacist training and traditional practice environments have not been adequate to prepare the pharmacist for both the patient care needs and regulatory barriers of patients experiencing opioid use disorders (OUD). As a result, there is a need to increase pharmacists’ awareness of both the overall patient experience as they navigate their OUD and the role of the community pharmacy as a touchpoint within that experience. To this end, a Community-Centered Patient Journey in Drug Addiction Treatment journey map was developed with expert insights, clinical experience, and in-depth interviews (conducted in spring of 2021) with 16 participants enrolled in licensed opioid treatment programs in Tennessee. Patients, policymakers, clinicians, and academic researchers were involved in the map development. Lived experiences of key informants were captured via in-depth interviews. A consensus decision-making approach was used throughout the patient journey map development process. The final patient journey map illustrates a non-linear pathway, describes the central role of the patient’s community, and emphasizes three major “pain points” within the system (access, adherence, and affordability). Future research should investigate the impact of such a journey map on pharmacy personnel’s knowledge, attitudes, and behaviors.